请注意指导方针与行为改变之间的差距:系统性审查和对医疗保健有效性的考虑
Stefano Gandolfi1, Nicola Bellè2, Sabina Nuti1
1Interdisciplinary Research Center for Health Science, Sant'Anna School of Advanced Studies - Pisa, Italy.
Health policy (Amsterdam, Netherlands)
|November 22, 2024
概括
医疗保健指南显示出混合的有效性,在不到一半的研究中积极影响行为,主要关注处方行为和医生. 为了更有效的干预,需要进一步的研究.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
- 基于证据的实践.
背景情况:
- 临床实践指南旨在规范护理并改善患者的治疗结果.
- 了解这些指南对医疗保健专业人员行为的影响对于有效实施至关重要.
研究的目的:
- 系统地审查有关指南对医疗保健专业人员行为影响的文献.
- 探索与指导方针实施相关的结果.
主要方法:
- 根据PRISMA方法进行了系统审查.
- 对Scopus和Web of Science数据库的搜索产生了624篇文章;67篇被选择用于分析.
主要成果:
- 处方行为是研究最多的目标行为 (58.2%).
- 在46.3%的研究中报告了积极的行为变化,其中17.9%显示了负面影响,22.4%的结果是混合的.
- 定量方法 (56.8%) 占主导地位,医生是主要参与者 (44.8%).
结论:
- 指南对医疗保健专业行为的有效性各不相同,只有不到一半的研究报告了积极的影响.
- 处方行为和医生是最常见的焦点,突出了对护士等其他专业群体研究的潜在差距.
- 标准化方法方法和开发更有效的行为干预措施是必要的,以减少临床变异.
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